New Patients

Patient Forms, Map and Directions to Orchard Park, NY Office
If you're planning your first visit to Buffalo Gastroenterology, we look forward to meeting you. To help prepare you, you'll find all the information you need about our practice on this page, including:

  • Directions and maps
  • Mission Statement
  • New Patient Forms (complete this prior to your appointment to save some time)

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in gastroenterology.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of our patients and the community.
  • Strive for continuous improvement to better serve you.

Patient Forms
Please print and fill out these forms so we can expedite your first visit:

Get Adobe ReaderIn order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Insurance and Billing
Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. We are happy to file insurance for your reimbursement as long as you are free to choose your own gastroenterologist.

Payment Options
Please see our Financial Coordinator for details or click here to make an online payment.

Patient Financial Policy
Thank you for choosing our practice for your care. We are dedicated to providing the best possible care and service to you and regard your complete understanding of our financial policies as an essential element of your care and treatment.

Your insurance policy is a contract between you and your insurance company. It is your responsibility to know your own coverage.

We accept and will file claims for all insurances as a courtesy to our patients. This does not mean we participate with all plans. Insurance companies are continually adding new policies and sometimes limit which providers may be in-network. If you have any concerns regarding participation, we suggest you contact your insurer directly.

As we are specialists, some insurance companies require a referral from your primary care physician. It is your responsibility to know if a referral is required and to obtain it before your appointment.

All copayments are due at the time of service. If you request to be billed for your copayment, there will be an additional $15 (fifteen dollar) service charge.

We accept cash, personal checks*, MasterCard, Visa, American Express and Discover.

Financial Assistance:
For patients with financial need, we may offer no-interest payment plans. Please contact our billing office immediately upon receipt of your statement to avoid collection letters for non-payment.

While we strive to collect only the proper amounts due and promptly post payments received, there are times when overpayments occur. It is our policy to refund most overpayments within 30 days of receipt: If you have an upcoming appointment within 3 months, a refund will not be issued until that visit has been processed. Refunds under $5 will not be issued, unless by request.

If your account is in bad debt status and you have made no attempt at payment, we may suspend services until your account is made current.

*Please be aware there is a $20 fee for returned checks.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.